Jabbari Mosadegh, Rostami Zohreh, Jenabi Aria, Bahrami Amir, Mooraki Ahmad
Department of Nephrology, Rasool Akram Hospital, Iran Medical University, Tehran, Iran.
Saudi J Kidney Dis Transpl. 2011 Nov;22(6):1181-6.
Gentamicin nephrotoxicity is one of the most common causes of acute renal failure. Simvastatin is one of the antioxidative drugs, which has anti-inflammatory and anabolic effects and modulates the immune system. The present study was conducted to assess the effect of simvastatin on ameliorating the gentamicin-induced renal injury in 87 Sprague-Dawley rats, which were allocated randomly to 11 study groups: (A) and (B) groups with only gentamicin in 2 dosages; (C), (D), and (E) gentamicin 50 mg/kg/day and simvastatin with different dosage; (F), (G), and (H) gentamicin 80 mg/kg/day and simvastatin with different dosage; (I) only simvastatin; (J) Injected normal saline; (K) control (no gentamicin and no simvastatin) group. Our study intervention period for injection of drugs was 12 days. Serum creatinine level and clearance were measured in all groups. At the end of the study, the rats were killed and both kidneys were removed and processed for histopathologic examination using the standard methods. The 50 mg/kg/day dose was utilized because it induces a mild form of renal toxicity, whereas the 80 mg/kg/day dose cause a more severe degree of renal injury. Morphologic examination of specimens from all rats was qualitatively assessed with blindness to treatment groups and proximal tubular profiles that were presented in each file were counted. The results demonstrated amelioration of gentamicin-induced renal toxicity in rats by simvastatin due to its antioxidant drug dose-related effect.
庆大霉素肾毒性是急性肾衰竭最常见的病因之一。辛伐他汀是一种抗氧化药物,具有抗炎和合成代谢作用,并能调节免疫系统。本研究旨在评估辛伐他汀对87只Sprague-Dawley大鼠庆大霉素诱导的肾损伤的改善作用,这些大鼠被随机分为11个研究组:(A)组和(B)组仅使用两种剂量的庆大霉素;(C)组、(D)组和(E)组使用50mg/kg/天的庆大霉素和不同剂量的辛伐他汀;(F)组、(G)组和(H)组使用80mg/kg/天的庆大霉素和不同剂量的辛伐他汀;(I)组仅使用辛伐他汀;(J)组注射生理盐水;(K)组为对照组(不使用庆大霉素和辛伐他汀)。我们的研究药物注射干预期为12天。测量所有组的血清肌酐水平和清除率。研究结束时,处死大鼠,取出双肾,采用标准方法进行组织病理学检查。使用50mg/kg/天的剂量是因为它会诱发轻度肾毒性,而80mg/kg/天的剂量会导致更严重程度的肾损伤。对所有大鼠标本的形态学检查进行定性评估,对治疗组进行盲法评估,并对每个文件中呈现的近端肾小管轮廓进行计数。结果表明,辛伐他汀因其抗氧化药物剂量相关效应改善了大鼠庆大霉素诱导的肾毒性。